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J. Feldman, B. Cohen, James May (1978)
THE MEDIAL GASTROCNEMIUS MYOCUTANEOUS FLAPPlastic and Reconstructive Surgery, 61
Benjamin Busfield, G. Huffman, F. Nahai, W. Hoffman, M. Ries (2004)
Extended Medial Gastrocnemius Rotational Flap for Treatment of Chronic Knee Extensor Mechanism Deficiency in Patients with and without Total Knee ArthroplastyClinical Orthopaedics and Related Research, 1
René Verdonk (1997)
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J. McCraw, J. Penix, J. Baker (1978)
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Feldman Feldman, Cohen Cohen, May May (1978)
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P. Arnold, R. Mixter (1983)
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J. Thomine (2002)
Revue de Chirurgie Orthopédique et réparatrice de l'appareil moteur
J. Dubousset, G. Missenard, J. Genin (1985)
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J. Jaureguito, C. Dubois, Stephen Smith, L. Gottlieb, H. Finn (1997)
Medial Gastrocnemius Transposition Flap for the Treatment of Disruption of the Extensor Mechanism after Total Knee Arthroplasty*The Journal of Bone & Joint Surgery, 79
The gastrocnemius muscle is versatile in flap repair of defects from anterior knee to lower leg. We describe a case of extensor reconstruction using an extended medial gastrocnemius myocutaneous flap. A medial gastrocnemius flap was raised distal to its musculotendinous insertion. At its point of rotation, it was anchored to the anterior periosteum of the tibia, hence obliterating dead space and recreating the extensor mechanism of the knee. The patient had no flap loss and was able to ambulate independently. He showed no extensor lag. Our flap is unique in that it is the only medial gastrocnemius flap that has shown no extensor lag as well as complete flexion of the knee following a disrupted entire quadriceps mechanism. It is also the first myocutaneous gastrocnemius flap that has been described for this purpose.
Anz Journal of Surgery – Wiley
Published: Dec 1, 2006
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